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1、November 2015 Connected and coordinated: Personalised service delivery for the elderly 1 | Connected and coordinated: Personalised service delivery for the elderly About this report We are entering a new era of health new health. Health matters. It matters to each of us as individuals and to society
2、 it connects us all like no other. It lies at the heart of our economic, political, social and environmental prosperity and is one of the largest industries in the world. Two assumptions underpin the traditional approach to healthcare: that its about the treatment of disease; and that its the domain
3、 of a particular professional group. We need a different approach to cope with the ageing curve and increasing incidence of chronic conditions an approach that expands the focus from care and cure to vitality and wellbeing, and from episodic intervention to personalised integrated services. We must
4、also bring care closer to the citizen and manage health collectively. New entrants from outside industries are already blazing a trail, but preserving the health of the populace will ultimately become a shared endeavour. This PwC global paper focuses on the need to shift our mind-set to reform and c
5、reate more innovative and effective ways to deliver services in ageing societies. We believe those that quickly respond and make sense of the changing landscape will be the winners in the new paradigm. In addition to the global cases and views, I am also keen to share with you a few facts and figure
6、s from the China market. The transformation of health is upon us. A new era of healthcare is emerging. Will you be ready? Mark Gilbraith China Leader, Health 1 | Connected and coordinated: Personalised service delivery for the elderly Connected and coordinated: Personalised service delivery for the
7、elderly | 2 Table of contents Elderly care service in China 3 The price of progress 9 Why the current way of caring for the elderly is neither cost effective nor sustainable 10 A new service delivery model for the elderly 12 Addressing needs in a personalised way 13 Bringing everything together 20 T
8、he road to a new care model 21 A shared endeavour 29 Connected and coordinated: Personalised service delivery for the elderly | 2 3 | Connected and coordinated: Personalised service delivery for the elderly Elderly care service in China Connected and coordinated: Personalised service delivery for th
9、e elderly | 4 Chinas demographic changes over the past decades have been influenced by policy Key factors contributing to the growth of Chinas population Key factors slowing down the growth of Chinas population 1955 1965197419882005 197019811995 19501960 1970 1980199020002010 Post-war baby boom(1950
10、-1957) The second baby boom: when the first baby boomers became parents（(1980-1990)（ Great Leap Forward and Three Years of Natural Disaster (1958-1961) Family planning policy launched (1971) Family planning policy continued (1990-) （ = 1 million people Source:National Bureau of Statistics, PwC analy
11、sts A declining birth rate and extending average life span has led to an aging population spanning from 2010 to 2050 Source: China Statistical Yearbook 1950 Age Above 65 million2020 40406060 80800 0 10 20 30 40 50 60 70 80 90 100 1980 Age million2020 4040606080800 Above 65 0 10 20 30 40 50 60 70 80
12、90 100 million2020 40406060 80800 Above 65Above 65 0 10 20 30 40 50 60 70 80 90 100 0 10 20 30 40 50 60 70 80 90 100 20102050F million2020 40406060 80800 FamaleMale AgeAge 14.4 million, 5.4% of female population 62.4 million, 8.0% of female population 10.4 million, 3.7% of male population 56.4 milli
13、on, 7.4% of male population 28.5 million, 6.0% of female population 178.9 million, 26% of female population 22.2 million, 4.4% of male population 151.5 million, 21.4% of male population 5 | Connected and coordinated: Personalised service delivery for the elderly Elderly citizens prefer to stay at ho
14、me, however; higher incomes, smaller families and social shifts have led to a rise in senior citizens selecting nursing homes Higher disposable income is resulting in higher payment capacity in elderly care Per capita disposable income（RMB Smaller family scale results in heavier burden for young gen
15、eration in elderly care Family scale（person/family Nursing homes are increasingly popular as social ideals shift Reason for staying in nursing homes has shifted from lacking family care to seeking a preferred form of retirement Proportion of Chinese seniors staying in nursing homes % Population of C
16、hinese seniors staying in nursing homes Unit: 10,000 Per capita disposable income：RMB Unit: million % Family scale：person/family 20052010 3.36 3.10 20052010 1.2% 2.2% Urban Rural Urban Rural 20052010 3,235 10,4935,910 19,109 Per capita disposable income：RMB Unit: million % Family scale：person/family 20052010 3.36 3.10 20052010 1.2% 2.2% Urban Rural Urban Rural 20052010 3,235 10,4935,910 19,109 20052010 1.2% 2.2% 20052010 Unit: 10,000 Annual growth rate 16% 116 243 Per capita dis
